Individual
DR. AMANDA U. HARGRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.
Contact information
Practice address
444 NEPTUNE BLVD., UNIT 2, NEPTUNE, NJ 07753-4144
(732) 775-5300
(732) 775-1737
Mailing address
444 NEPTUNE BLVD., UNIT 2, NEPTUNE, NJ 07753-4144
(732) 775-5300
(732) 775-1737
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00830600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8880107
—
NJ
Enumeration date
07/24/2018
Last updated
07/22/2019
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